摘要
目的 探讨家庭医生签约服务在实施糖尿病患者社区护理管理中的应用效果。方法 将我社区2019年1月-2020年12月期间接收的120例糖尿病患者作为本次分析对象，将纳入的患者采取双盲随机法划分为两组进行护理研究，组别包括实验组和对照组，每组人数各有60例，对照组患者给予常规随访护理，实验组患者实施家庭医生签约服务。将两组最终护理效果进行详细对比。结果 实验组护理管理质量、患者对健康知识掌握、多自我效能均高于对照组，患者的血糖水平同对照组相比得到显著改善，生活质量显著高于对照组，患者和家属满意度高于对照组，并发症率低于对照组，两组各项指标结果对比差值存在统计学意义P＜0.05。结论 糖尿病患者实施家庭医生签约服务效果确切，值得推广。
关键词： 家庭医生签约服务；糖尿病患者；社区护理管理；应用效果
Abstract
Objective To explore the effect of family doctor contract service in the implementation of community nursing management for diabetes patients. Methods: 120 patients with diabetes received in our community from January 2019 to December 2020 were taken as the objects of this analysis. The included patients were divided into two groups by double-blind random method for nursing research. The group included the experimental group and the control group, with 60 patients in each group. The patients in the control group were given routine follow-up care, and the patients in the experimental group were provided with contracted services from family doctors. The final nursing effects of the two groups were compared in detail. Results: the quality of nursing management, the mastery of health knowledge and multi self-efficacy of patients in the experimental group were higher than those in the control group. The blood glucose level of patients was significantly improved compared with the control group, the quality of life was significantly higher than that in the control group, the satisfaction of patients and their families was higher than that in the control group, and the complication rate was lower than that in the control group. The difference of various index results between the two groups was statistically significant (P < 0.05). Conclusion : the family doctor contract service for diabetes patients is effective and worth popularizing.
Key words： family doctor signing service; Diabetes patients; Community nursing management; Application effect
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